1. Distal Embolic Protection in Impella 5.0 Explantation: Loop and Snare Technique.
- Author
-
Kawabori M, Pramil V, Shindgikar P, Zhan Y, Warner KG, Rastegar H, Kapur NK, Chen FY, and Couper GS
- Subjects
- Embolism etiology, Humans, Cardiac Surgical Procedures methods, Device Removal methods, Embolism prevention & control, Heart-Assist Devices adverse effects, Shock, Cardiogenic surgery
- Abstract
The left ventricular assist device Impella 5.0 (Abiomed Inc, Danvers, MA) has become widely accepted as a temporary mechanical circulatory support for patients in cardiogenic shock. The Impella 5.0 is placed through an anastomosed graft. When removing the device, blood clot formation has been noted in the anastomosed graft. The blood clot has been reported to dislodge and embolize distally, causing acute limb ischemia. Here, we present our simple, inexpensive, and effective "loop and snare" technique for safer device removal, preventing distal embolic complications. In our experience of 6 patients who had Impella 5.0 removal with this technique, the distal embolic complication was 0%., (Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF